Organization
STACEY D KNAPP DO PC INC
Active
Other names
Stacey D Knapp DO
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY D KNAPP DO (PROVIDER/OWNER)
(580) 323-7800
Entity
Organization
Contact information
Practice address
209 S 30TH ST, CLINTON, OK 73601-3100
(580) 323-7800
(580) 323-7803
Mailing address
209 S 30TH ST, CLINTON, OK 73601-3100
(580) 323-7800
(580) 323-7803
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20-1347913
OK
Other
Enumeration date
08/02/2005
Last updated
08/15/2011
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